| Doctor Name: | MRS. MARY ANN WARD |
| NPI Number: | 1770751752 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | APA1707 |
| Business Practice Address: | 1322 Klabzuba Avenue Prague, OK - 74864 |
| Business Phone Number: | 4055674922 |
| Business Fax Number: | 4055674290 |
| Mailing Address: | Po Box S, PRAGUE |
| State: | OK |
| Postal Code: | 748641090 |
| Phone Number: | 4055674922 |
| Fax Number: | 4055674290 |
| NPI Enumeration Date: | 02/13/2008 |
| NPI Last Update Date: | 02/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | APA1707 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |